Deficiency Records for Edgewood Manor of Lucasville Ii
Updated as of November 01, 2020
This is not the most recent data for Edgewood Manor of Lucasville Ii. For the most recent information, click here.
A list of the most recent deficiencies for Edgewood Manor of Lucasville Ii. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-04-18 | 2019-05-17 | N |
| Be properly staffed | Fire Safety | 2019-04-18 | 2019-05-17 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2019-04-18 | 2019-05-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-18 | 2019-05-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-18 | 2019-05-17 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-04-18 | 2019-05-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-18 | 2019-05-17 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-04-18 | 2019-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-05-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-03-19 | 2018-04-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-03-19 | 2018-04-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-19 | 2018-04-13 | N |
| Be properly staffed | Fire Safety | 2018-03-19 | 2018-04-13 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2018-03-19 | 2018-04-13 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-03-19 | 2018-04-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-15 | 2018-04-13 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-03-15 | 2018-04-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-03-15 | 2018-04-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-15 | 2018-04-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-15 | 2018-04-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-03-15 | 2018-04-13 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-03-15 | 2018-04-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-15 | 2018-04-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2017-02-03 | 2017-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-03 | 2017-03-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-03 | 2017-03-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-03 | 2017-03-10 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2017-02-03 | 2017-03-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-02-02 | 2017-03-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-02-02 | 2017-03-10 | N |
| Provide housekeeping and maintenance services. | Health | 2017-02-02 | 2017-03-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-02 | 2017-03-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-02-02 | 2017-03-10 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-02-02 | 2017-03-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-02 | 2017-03-10 | N |
